Most Relevant Information
Provider Data
| NPI Number: | 1003273699 |
| Provider Name: | BRADY LYLES |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/27/2016 |
| Last Updated: | 08/05/2019 |
Provider Practice Location
1000 POTOMAC ST NW STE 106
WASHINGTON
DC
200073599
Practice Location Phone/Fax
| Phone: | 3018857746 |
| Fax: |
Provider Mailing Location
414 MOHICAN DR
FREDERICK
MD
21701
Provider Mailing Phone/Fax
| Phone: | 3018857746 |
| Fax: |